Evidence map›Paper›PMID 32884914›Full record

ArticleIntegrated pharmacy research & practice2020

Unlicensed "Special" Medicines: Understanding the Community Pharmacist Perspective.

Alesha Wale, Mark Ireland, Rowan Yemm, Sarah Hiom, Alison Jones, John Paul Spark, Mark Francis, Karen May, Louise Allen, Steve Ridd and 1 more

Abstract read
In one paragraph

Article in Integrated pharmacy research & practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Alesha WaleSchool of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, Wales, UK.ORCID 0000-0002-0242-1779
Mark IrelandCommunity Pharmacy Wales, Cardiff, Wales, UK.
Rowan YemmSchool of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, Wales, UK.ORCID 0000-0002-4678-9532
Sarah HiomSt. Mary's Pharmaceutical Unit, Cardiff, Wales, UK.
Alison JonesSt. Mary's Pharmaceutical Unit, Cardiff, Wales, UK.
John Paul SparkSt. Mary's Pharmaceutical Unit, Cardiff, Wales, UK.
Mark FrancisSwansea Bay University Health Board, Swansea, Wales, UK.
Karen MayCardiff and Vale University Health Board, Swansea, Wales, UK.
Louise AllenCardiff and Vale University Health Board, Swansea, Wales, UK.
Steve RiddMayberry Pharmacy, Cardiff, Wales, UK.
Efi MantzouraniSchool of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, Wales, UK.ORCID 0000-0002-6313-1409

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCommunity pharmacy staff are responsible for obtaining and supplying unlicensed "special" medicines to patients in primary care. Less well-defined parameters for safe and effective use of unlicensed compared to licensed medicines, along with issues around maintaining consistency between care settings or among manufacturers, have been associated with increased risks. This study aimed to explore the views and experiences of community pharmacy staff on accessing and supplying unlicensed "special" medicines to patients in Wales and the perceived impact of challenges faced on patient care.

methodsA qualitative, phenomenological approach was employed, involving semi-structured interviews with pharmacists and pharmacy technicians working at one small chain of community pharmacies in Wales. The interview schedule focused on the personal experiences and perceptions of the participants on the processes involved in accessing and supplying unlicensed "special" medicines from a community pharmacy. Interviews were audio-recorded and transcribed verbatim.

resultsA total of six participants completed the interview. Three main themes were constructed from inductive thematic analysis of the transcribed interviews: requirement for additional patient responsibilities; influences on the confidence felt by pharmacy staff when accessing and supplying unlicensed "special" medicines; and continuity of supply.

conclusionThis study gives a preliminary insight into the views and experiences of community pharmacy staff in Wales when accessing and supplying unlicensed "special" medicines. Further research is required to see if these views and experiences are representative of community pharmacy staff across the country.

Indexed as

community pharmacycompoundingmedicines supplyoff-label“special” medicinesspecialstransfer of caretransmural careunlicensed medicines

Identifiers

PMID32884914
PMCPMC7431448

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.